Senior Manager, Coding Quality

Job Summary

A company is looking for a Senior Manager, Coding Quality & RADV Audits.

Key Responsibilities

• Lead compliance risk adjustment activities and oversee risk mitigation vendors
• Manage internal and government audit activities, including coding and retrieval for audits
• Direct coding training for certified coders and ensure competency certification for new hires

Required Qualifications

• Bachelor's degree required, or a clinical license with extensive relevant experience
• Five years of experience in risk adjustment programs
• Three years of management experience in a medical coding quality assurance environment
• Successful completion of a medical coding license (CPC, COC, CRC, CCS, or CCS-P)
• RADV or HRADV audit experience required